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It is now recognized as one of the most lethal forms of DV; yet, because of the lack of external injuries, and the lack of social awareness and medical training in regard to it, strangulation has often been a hidden problem.Homicide as a result of domestic violence makes up a greater proportion of female homicides than it does male homicides.Victims of domestic violence may be trapped in domestic violent situations through isolation, power and control, cultural acceptance, lack of financial resources, fear, shame, or to protect children.

This publication urged countries around the world to treat DV as a criminal act, stated that the right to a private family life does not include the right to abuse family members, and acknowledged that, at the time of its writing, most legal systems considered DV to be largely outside the scope of the law, describing the situation at that time as follows: "Physical discipline of children is allowed and, indeed, encouraged in many legal systems and a large number of countries allow moderate physical chastisement of a wife or, if they do not do so now, have done so within the last 100 years.

Again, most legal systems fail to criminalize circumstances where a wife is forced to have sexual relations with her husband against her will.

More than 50 percent of female homicides are committed by former or current intimate partners in the US.

In the United Kingdom, 37 percent of murdered women were killed by an intimate partner compared to 6 percent for men.

India has, in recent decades, made efforts to curtail dowry violence: the Protection of Women from Domestic Violence Act (PWDVA) was enacted in 2005, following years of advocacy and activism by the women's organizations.

Crimes of passion in Latin America, a region which has a history of treating such killings with extreme leniency, have also come to international attention.

Victims may experience severe psychological disorders, such as post-traumatic stress disorder.

Children who live in a household with violence often show psychological problems from an early age, such as avoidance, hypervigilance to threats, and dysregulated aggression which may contribute to vicarious traumatization.

Instead, physicians often looked for undiagnosed bone diseases or accepted parents' accounts of accidental mishaps such as falls or assaults by neighborhood bullies. Differences in frequency, severity, purpose, and outcome are all significant.

Domestic violence can take many forms, including physical aggression or assault (hitting, kicking, biting, shoving, restraining, slapping, throwing objects, beating up), or threats thereof; sexual abuse; controlling or domineering; intimidation; stalking; passive/covert abuse (e.g., neglect); and economic deprivation.

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